International Residents' Perspectives on Education and Challenges in Microsurgery Training

Author:

Tang Camelia Qian Ying1,S. Benedicta Seeli2,Rugiero Clelia3,Heredia Rocío belén Perez4,Kearns Marie5,Huang Tony C. T.6,Shaker Mahmoud Mohamed7,Glasbrenner Johannes8,Mehdizade Turan9,Panse Nikhil10,Santamaria Eric11,Chen Charly12,Jerome J. Terrence Jose13

Affiliation:

1. Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore, Singapore

2. Department of Plastic Surgery, Government Kilpauk Medical College, Chennai, Tamil Nadu, India

3. Department of Hand Surgery, Victor Hugo Clinique, Paris, France

4. Department of Plastic Surgery, Hospital de la policía nacional del Perú, Lima, Peru

5. Department of Plastic Surgery, Canniesburn Plastic Surgery Unit, Glasgow, Scotland

6. Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota, United States

7. Department of Plastic Surgery, Suez Canal University Hospital, Ismailia, Egypt

8. Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Münster, Germany

9. Department of Plastic, Reconstructive, Aesthetic Surgery, Bezmialem Foundation University, Istanbul, Turkey

10. Department of Plastic Surgery, B. J. Government Medical College and Sassoon Hospital, Pune, Maharashtra, India

11. Division of Microsurgery, Department of Plastic and Reconstructive Surgery, Hospital General “Manuel Gea González,” México City, México

12. Department of Hand and Foot Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinana, China

13. Department of Orthopedics, Hand and Reconstructive Microsurgery, Olympia Hospital & Research Centre, Trichy, Tamil Nadu, India

Abstract

Abstract Objective Microsurgery remains an integral component of the surgical skillset and is essential for a diversity of reconstructive procedures. The apprenticeship also requires overcoming a steep learning curve, among many challenges. The method of microsurgical training differs depending on the countries' regions and resources of their health care system. Methods The Journal of Hand and Microsurgery leadership held an international webinar on June 19, 2021, consisting of a panel of residents from 10 countries and moderated by eminent panelists. This inaugural event aimed to share different experiences of microsurgery training on a global scale, identifying challenges to accessing and delivering training. Results Residents shared various structures and modes of microsurgical education worldwide. Areas of discussion also included microsurgical laboratory training, simulation training, knowledge sharing, burnout among trainees, and challenges for female residents in microsurgical training. Conclusion Microsurgical proficiency is attained through deliberate and continued practice, and there is a strong emphasis globally on training and guidance. However, much remains to be done to improve microsurgical training and start acting on the various challenges raised by residents. Level of Evidence Level V.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

Reference14 articles.

1. Hand surgery in Singapore;T Pei-Yein;J Hand Microsurg,2021

2. Hand surgery;R W Pho;Ann Acad Med Singapore,1992

3. Microsurgery training resource variation among US Integrated Plastic Surgery Residency Programs;M A Mueller;J Reconstr Microsurg,2019

4. Towards a global understanding and standardisation of education and training in microsurgery;C C Leung;Arch Plast Surg,2013

5. How educational theory can inform the training and practice of plastic surgeons;H Sadideen;Plast Reconstr Surg Glob Open,2018

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